A Social Cognitive Theory-based Framework for Monitoring Medication Adherence Applied to Endocrine Therapy in Breast Cancer Survivors.
A Social Cognitive Theory-based Framework for Monitoring Medication Adherence Applied to Endocrine Therapy in Breast Cancer Survivors.
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DOI：
10.1109/bhi.2018.8333422
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发表时间：
2018-03-01
期刊：
影响因子：
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通讯作者：
Barnes, Laura E
中科院分区：
文献类型：
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作者：
Boukhechba, Mehdi;Baee, Sonia;Barnes, Laura E
对癌症等慢性病的长期治疗依从性差，会损害治疗效果，增加疾病进展的可能性，使药物依从性成为人口健康的一个关键问题。虽然该领域已经记录了许多对药物依从性的关注，但也提出了一些有效的药物依从性解决方案，这表明需要新的创新方法。在本文中，我们评估了基于社会认知理论（SCT）的服药行为，在8个月的时间内，33名乳腺癌幸存者在SCT结构中分层呈现依从性模式。研究结果表明，药物依从性是一个非常个人的经验，同时受许多相互作用的因素，需要更深入的上下文理解，以了解和制定针对非依从性的干预措施。
Poor adherence to long-term therapies for chronic diseases, such as cancer, compromises effectiveness of treatment and increases the likelihood of disease progression, making medication adherence a critical issue in population health. While the field has documented many eers to adherence to medication, it has also come up with few efficacious solutions to medication adherence, indicating that new and innovative approaches are needed. In this paper, we evaluate medication-taking behaviors based on social cognitive theory (SCT), presenting patterns of adherence stratified across SCT constructs in 33 breast cancer survivors over an 8-month period. Findings indicate that medication adherence is a very personal experience influenced by many simultaneously interacting factors, and a deeper contextual understanding is needed to understand and develop interventions targeting non-adherence.